Digital Angiography Systems

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1 Trinias C8/F8 package Digital Angiography Systems C505-E064

2 Introducing Trinias Spire in Cardiology The synergy between Trinias and medical care providers committed to providing the highest quality medical treatment and interventions leads to better patient-centered care. Reflecting years of experience, Trinias has been painstakingly developed in conjunction with our customers. A Shape Honed to Perfection Equipped with 8 8-inch FPD It s a whole new experience Patient Medical Care Providers SHIMADZU Advanced Interventions 2 3

3 S C O R E I m a g i n g Experience the Next Frontier of Intervention SCORE Imaging SCORE PRO SCORE PRO is a next-generation image processing engine developed to provide fluoroscopy images on par with radiography, based on the concept of reduced exposure. Multiple sophisticated image processing functions are performed in real time, dramatically improving intervention device visibility during fluoroscopy. Achieved through Shimadzu's proprietary ultra-high-speed image processing technology, SCORE imaging provides excellent visibility, a wealth of image guidance functions, real-time performance optimized specifically for the medical treatment, and sophisticated 3D application techniques. This ensures powerful support for advanced interventions that allow timely treatment through on-the-spot decision-making. Achieving High-Definition Fluoroscopy Experience the next frontier of intervention SCORE PRO applies multiple image processing functions to each frame in real time. This achieves high contrast, low residual imaging and low noise, dramatically improving the visibility of intervention devices. Fluoroscopy Image Radiography Image 4 5

4 S C O R E I m a g i n g Experience the next frontier of intervention SCORE StentView * SCORE StentView is software developed specifically to support PCI procedures based on real-time image processing technology, a specialty of Shimadzu. Stents move with the pulse beat. However, StentView displays stents in a fixed position, not through post-processing, but rather in real time. This is particularly effective for assessing positional relationships between overlapping stents, or when re-expanding a stent using a balloon. Real-Time Static Display of Stent Compensating for Cardiac Motion In SCORE StentView, the screen is split into the main StentView area, a DynamicView area, and a DetectingView area. DynamicView Area StentView Area DetectingView Area Displays the entire field of view The stent moving due to cardiac Displays an image to confirm * Optional in the same way as fluoroscopic images, where marker positions motion is arithmetically processed around a fixed marker. This offers whether the markers have been correctly detected by automatic Real-Time Performance, a Necessity for PCI are automatically detected. static images that are ideal for the observation of the stent. detection. Because SCORE StentView can enhance and fix the displayed position of stents in real time, rather than through post-processing, it is particularly effective for advanced PCI. DynamicView Area StentView Area Without StentView With StentView DetectingView Area Post balloon Kissing balloon Stent fracture 6 7

5 S C O R E I m a g i n g Experience the next frontier of intervention SCORE RSM SCORE RSM is an extremely motion-tolerant DSA technique, achieved through Shimadzu's high-speed digital image processing technology. This application is especially effective for tracking across the entire lower extremities, 3D imaging in combination with C-arm precession and pendulum modes and examinations on patients who have difficulty holding their breath. View images from multiple directions with a single imaging session Precession mode Pendulum mode Carotid A. Stent Subclavian A. New Type of DSA Unaffected by Breathing Movements and Intestinal Gas Internal Thoracic A. Dorsal Pedis A. 3 Normal DSA SCORE RSM * The photo is a reference image created by combining dynamic images. It cannot be displayed in its entirety on the monitor. 8 9

6 S M A R T D e s i g n Changing the way. Making it possible. SMART Design SMART Access Both the ceiling-mounted C-arm (C8 package) and floor-mounted C-arm (F8 package) provide a wide range of movement. In particular, with the floor-mounted C-arm, the base has a six-axis triple-pivot construction, which achieves a range of coverage close to that of the ceiling-mounted type. SMART Design provides the operational functionality required to respond instantly and easily in accordance with the operator's intent. Advanced interventional procedures are significantly enhanced with the flexible C-arm design, overall system integration and the one-touch control actions. Ceiling 8 Wide Coverage Reduces the Burden on Patients The ceiling-mounted C-arm is capable of full-body coverage without moving the patient, thanks to a wide 210 cm coverage in the transverse direction and 190 cm in the longitudinal direction. Movement in the transverse direction, in particular, supports a safe radial catheterization approach. Transverse coverage Longitudinal coverage 190 cm* 210 cm* Floor 8 Six-Axis Triple-Pivot Construction for Full-Body Coverage A total of six axes are provided for the base and rotational axes of the floor-mounted C-arm, achieving wide coverage. In particular, the triple-pivot construction of the base enables freely adjustable arm positioning. Changing the way. Making it possible. Longitudinal coverage 190 cm* Pivot Turn Pivot Turn Transverse coverage 140 cm* Home Position Multi-Position Peripheral Position Hand Access Position Stated length (cm) describes total X-ray imaging range added up by C-arm * movement, table top movement, and FPD field of view

7 S M A R T D e s i g n Changing the way. Making it possible. SMART Assist The system has been designed for single-action performance to make system control in the examination room and control room as simple as possible. This eliminates the need for troublesome operations during procedures. C-Arm Controller The lever-type CyberConsole controller allows free and flexible C-arm operation. DirectMemory Registered clinical angles can be called up intuitively using a graphical controller layout. Dynamic Referencing The dynamic reference function enables video playback and stopping during fluoroscopy. Live Monitor Reference Monitor Changes, plays back, and freezes reference images during fluoroscopy. A thumbnail function enables immediate display of reference images. Parallel Processing Achieves an Efficient Workflow A multiprocessor enables parallel image processing during examinations providing an efficient workflow. Network transmission Examination Traditional workflow Image processing Time Examination Simultaneous parallel processing System startup in approx. two minutes Workflow with multiprocessor Image processing Network transmission IVR-NEO The IVR-NEO controller consolidates the required fluoroscopy, radiography and the image functions in one location during procedures. SMART Display* With the large 56-inch high-resolution color LCD and touch panel controller, the operator can select the optimal display of image data to suit the current procedure. A CyberGrip controller is also available, which can be operated with one hand. * Optional 12 13

8 S M I L E C o n c e p t Safety + Comfort = SMILE SMILE Dose-eye SMILE Concept Shimadzu's SMILE Concept is primarily about concern for patients and operators, particularly in terms of reducing exposure. The concept is intended as a total solution for ensuring safety and peace of mind, which benefits both patients and operators. Seven Features That Reduce Exposure SMILE Dose-eye achieves an excellent system-wide tradeoff between lower dosage and higher image quality. 1 MBH Filter Effectively eliminates unnecessary soft X-rays. 2 Pulsed Fluoroscopy Select from 10 rates depending on the procedure. 3 Grid Control Blocks unnecessary soft radiation. 4 Virtual Collimation Enables collimation without fluoroscopy. 5 Image Processing SCORE PRO ensures lower dose and higher image quality. 6 Fluoroscopy Video Recording High-definition fluoroscopy can substitute for radiography. Safety + Comfort = SMILE 7 Area Dosimeter * The monitor displays the actual dosage in real time. * Optional SMILE Recovery High-Speed Setup All functions are available within two minutes after the power is turned ON. Backup Filament If the filament burns out during an examination, it will be replaced automatically so the examination can be continued. X-ray Filament for large focus Anode Filament for small focus Data Mirroring Mirroring the image data provides a redundant data architecture. Automatic switchover Focal spot Go Green Environmentally Friendly The system standby power has been revised to achieve power savings of up to 30 %.* * In comparison to other Shimadzu angiography systems (during standby) -30% 14 15

9 Trinias C8/F8 package Founded in 1875, Shimadzu Corporation, a leader in the development of advanced technologies, has a distinguished history of innovation built on the foundation of contributing to society through science and technology. We maintain a global network of sales, service, technical support and applications centers on six continents, and have established long-term relationships with a host of highly trained distributors located in over 100 countries. For information about Shimadzu, and to contact your local office, please visit our Web site at Shimadzu Corporation Medical Systems Group has been certified by TÜV Rheinland as a manufacturer of medical equipment and systems in compliance with ISO9001:2008 Quality Management Systems and ISO13485:2003 Medical Equipment Quality Management Systems. Headquarters 1, Nishinokyo-Kuwabara-cho, Nakagyo-ku, Kyoto , Japan Remarks: Every value in this catalogue is a standard value, and it may vary a little from the actual at each site. The appearances and specifications are subject to change for reasons of improvement without notice. Certain configurations may not be available pending regulatory clearance. Contact your Shimadzu representative for information on specific configurations. Before operating this system, you should first thoroughly review the Instruction Manual AMF